Thursday

#EMconf: Serotonin Syndrome

To wrap up our toxicology module, Dr. Sumaya Mekkaoui reviewed serotonin syndrome.  This can be a challenging diagnosis to make and is often misinterpreted as other psychiatric or medical syndrome.  Look ahead for a quick review on the  clinical presentation, drugs implicated in serotonin syndrome, and comparing/contrasting similar toxidromes.  

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#EMconf: The (Dis)Utility of the Urine Drug Screen

The Urine Drug Screen (UDS) is a commonly used test in the emergency department, however there are many shortcomings that limit its diagnostic utility. The Urine Drug Screen is exactly that – a SCREENing and not a confirmatory test!  This week Dr. Lauren Murphy educated us on: 1) the potential false positives and negatives of the UDAS and 2) the detection times that drug metabolites are at a concentration in the urine to trigger a positive result (cutoff value).  Read ahead for the reference tables!    

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#EMconf: Ultrasound vs. CXR for Pediatric Pneumonia

Have you considered using ultrasound to diagnose pneumonia in children?   This week for his critically appraised topic, Dr. Michael Coletta researched whether point-of-care ultrasound is a better imaging study for diagnosing pediatric pneumonia than chest xray.  Read ahead for the details....  

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#EMconf: Shore Retreat! Tips for Discussions With Consultants and Patients

Last Thursday was the yearly Cooper EM residency retreat at the shore in Avalon, NJ. In addition to some spectacular teaching tips on summer emergencies, we had some great small group discussion and role-playing regarding one of the toughest (and least discussed) aspects of our jobs: difficult discussions with consultants, admitting physicians, and patients. Read on for some great interpersonal communications tips (and some pics of the Cooper EM residents hard at work).

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